NPI | 1659524254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60022770) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C2154) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2008-10-28 |