NPI | 1972952042 |
---|---|
Other Name | AJ VISSERING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 8679) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 8679) |
101YM0800X Counselor, Mental Health (Licence: WA LH61129627) | |
Enumeration Date | 2016-06-08 |
Last Update Date | 2024-06-03 |