NPI | 1144675976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60739153) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO 60581151) |
101YM0800X Counselor, Mental Health (Licence: WA MCHA.MC.60583575) | |
106H00000X Marriage & Family Therapist (Licence: WA #MG 60562324) | |
Enumeration Date | 2016-04-29 |
Last Update Date | 2020-11-18 |