NPI | 1831669217 |
---|---|
Other Name | SEMI GREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61356238) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61381857) |
Enumeration Date | 2018-11-28 |
Last Update Date | 2023-11-06 |