NPI | 1548736184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61136575) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6463) |
Enumeration Date | 2018-10-22 |
Last Update Date | 2024-04-18 |