NPI | 1861991374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60231707) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK LPC610) |
Enumeration Date | 2018-02-09 |
Last Update Date | 2018-04-05 |