NPI | 1558650499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60421721) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60146059) |
Enumeration Date | 2011-03-31 |
Last Update Date | 2018-04-25 |