NPI | 1851543615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60184804) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60184804) |
101YP2500X Counselor, Professional (Licence: WA LH60184804) | |
Enumeration Date | 2008-10-10 |
Last Update Date | 2016-10-28 |