NPI | 1881050474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG 60557816) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC 60566270) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-02-19 |