NPI | 1750673232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60263060) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60263060) |
Enumeration Date | 2011-05-03 |
Last Update Date | 2013-05-30 |