NPI | 1831105402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61432899) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 18175) |
101YP2500X Counselor, Professional (Licence: CO 6505) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2024-07-15 |