NPI | 1871219402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61586035) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61336611) |
Enumeration Date | 2022-10-14 |
Last Update Date | 2024-11-21 |