NPI | 1902476393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61461340) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61244625) |
Enumeration Date | 2021-06-28 |
Last Update Date | 2023-11-08 |