NPI | 1952585820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA RC 00057431) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC 00057431) |
Enumeration Date | 2007-12-27 |
Last Update Date | 2009-01-16 |