NPI | 1730665001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60820517) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-6447) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2021-11-03 |