NPI | 1003183963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60361665) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA MG60226606) |
Enumeration Date | 2011-11-21 |
Last Update Date | 2017-03-22 |