NPI | 1780872465 |
---|---|
Former Name | HEIDE AMBER PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C1839) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00009398) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2007-10-09 |