NPI | 1801063490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60220280) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00056210) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2021-04-07 |