NPI | 1902624307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61549287) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR R10051) |
Enumeration Date | 2024-10-03 |
Last Update Date | 2024-10-03 |