NPI | 1770848079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60839781) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2012-07-12 |
Last Update Date | 2022-10-05 |