NPI | 1033531454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204896) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61185743) |
106H00000X Marriage & Family Therapist (Licence: WA LF61280351) | |
Enumeration Date | 2014-01-21 |
Last Update Date | 2024-01-13 |