NPI | 1154896512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60911626) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MG60696563) |
Enumeration Date | 2018-10-11 |
Last Update Date | 2024-11-06 |