NPI | 1295031375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60195217) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CL60173018) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00004847) | |
101YM0800X Counselor, Mental Health (Licence: WA LH60317760) | |
Enumeration Date | 2011-02-07 |
Last Update Date | 2013-02-21 |