NPI | 1134339245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-35) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00009327) |
101YM0800X Counselor, Mental Health (Licence: ID LCPC-399) | |
106H00000X Marriage & Family Therapist (Licence: WA LF-00002624) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2012-09-18 |