NPI | 1730623679 |
---|---|
Former Name | SARAH GWEN LINDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60959355) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60507911) |
Enumeration Date | 2016-12-12 |
Last Update Date | 2019-07-03 |