NPI | 1821137282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60140406) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C1974) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2013-05-20 |