NPI | 1609231547 |
---|---|
Former Name | RENEE GUY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60610548) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA FC60574304) |
Enumeration Date | 2015-12-18 |
Last Update Date | 2015-12-22 |