NPI | 1073978755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MG 60309336) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG 60309336) |
Enumeration Date | 2015-12-22 |
Last Update Date | 2015-12-22 |