NPI | 1285642520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00000961) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCPC 137) |
101Y00000X Counselor (Licence: WA LH00003616) | |
106H00000X Marriage & Family Therapist (Licence: ID LMFT 3069) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2025-09-11 |