NPI | 1861037467 |
---|---|
Former Name | ALYSSA OVERTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60943639) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CP61361950) |
Enumeration Date | 2019-11-07 |
Last Update Date | 2025-01-23 |