NPI | 1265721229 |
---|---|
Former Name | DEENA K BOSSERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 00010083) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH00010083) |
101YP2500X Counselor, Professional (Licence: WA LH 00010083) | |
101YS0200X Counselor, School (Licence: WA LH 00010083) | |
102L00000X Psychoanalyst (Licence: WA LH 00010083) | |
106H00000X Marriage & Family Therapist (Licence: WA LH 00010083) | |
Enumeration Date | 2011-03-30 |
Last Update Date | 2011-03-30 |