NPI | 1568513885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW00004148) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR L1654) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2007-07-08 |