NPI | 1265537096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60246798) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LF60246798) |
101YM0800X Counselor, Mental Health (Licence: CO MFT.0000984) | |
106H00000X Marriage & Family Therapist (Licence: CO MFT.0000984) | |
Enumeration Date | 2006-09-14 |
Last Update Date | 2024-09-16 |