NPI | 1801440995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH51198067) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60971393) |
Enumeration Date | 2019-07-28 |
Last Update Date | 2023-12-08 |