NPI | 1649546565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60300769) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E 0700028) |
101Y00000X Counselor (Licence: WA LH60300769) | |
Enumeration Date | 2012-03-25 |
Last Update Date | 2014-05-06 |