NPI | 1932469681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2414) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00006284) |
Enumeration Date | 2012-05-28 |
Last Update Date | 2012-05-28 |