NPI | 1205854411 |
---|---|
Former Name | MARGARET LEA MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00036530) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY00003260) |
103T00000X Psychologist (Licence: SD 361) | |
163W00000X Registered Nurse (Licence: WA RN00054419) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2007-07-08 |