NPI | 1760959266 |
---|---|
Former Name | ALYSSA VARNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60841432) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2018-11-01 |
Last Update Date | 2024-01-18 |