NPI | 1851522080 |
---|---|
Former Name | ROBIN LYNN MACON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60102887) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC60063104) |
Enumeration Date | 2009-08-05 |
Last Update Date | 2024-06-25 |