NPI | 1962923516 |
---|---|
Former Name | ELIZABETH SAMANTHA CATALANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60966181) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60783447) |
Enumeration Date | 2017-07-05 |
Last Update Date | 2019-06-10 |