NPI | 1023140076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00004429) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 1687) |
106H00000X Marriage & Family Therapist (Licence: LA 208) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2024-11-03 |