NPI | 1841549565 |
---|---|
Former Name | REGINA MAE KOHORST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60587896) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6375-125) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2025-09-19 |