NPI | 1720476120 |
---|---|
Former Name | REBECA ADAME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60687368) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC6028648) |
Enumeration Date | 2015-01-07 |
Last Update Date | 2018-03-17 |