NPI | 1871966119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60616456) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60616456) |
Enumeration Date | 2015-11-09 |
Last Update Date | 2022-08-10 |