NPI | 1811373079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60977364) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR STB-A-101681154) |
Enumeration Date | 2015-08-10 |
Last Update Date | 2022-06-22 |