NPI | 1841761665 |
---|---|
Other Name | VANESSA LEE SLOTHOUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60922320) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2018-12-06 |
Last Update Date | 2022-05-03 |