NPI | 1215374301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60896608) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00006060) |
101YM0800X Counselor Mental Health (Licence: WA LH60803278) | |
Enumeration Date | 2013-05-29 |
Last Update Date | 2024-08-29 |