NPI | 1770932444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60877428) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60603437) |
Enumeration Date | 2016-06-03 |
Last Update Date | 2024-11-21 |