NPI | 1699131722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG 60395760) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60628778) |
101YM0800X Counselor, Mental Health (Licence: WA 60628778) | |
Enumeration Date | 2016-01-05 |
Last Update Date | 2021-08-16 |