NPI | 1891185286 |
---|---|
Former Name | ARISSA ROSE FITCH-MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60680084) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10422) |
Enumeration Date | 2015-01-23 |
Last Update Date | 2021-05-10 |