NPI | 1689158719 |
---|---|
Former Name | ELIZABETH MULHERRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PSYC.PY.61603122) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60894418) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2025-10-08 |