NPI | 1730251885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00011379) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00051323) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2021-10-05 |