NPI | 1700393980 |
---|---|
Former Name | GAYLE ILENE MONARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61214742) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2018-01-09 |
Last Update Date | 2021-10-21 |