NPI | 1699814855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4513) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00051664) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2018-01-24 |