NPI | 1518372101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60736780) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-06-23 |
Last Update Date | 2018-06-12 |