NPI | 1942778121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC60882391) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60889265) |
Enumeration Date | 2018-11-06 |
Last Update Date | 2021-04-12 |