NPI | 1164625422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00001094) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00004540) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2025-09-11 |