NPI | 1306045604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LH60200522) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA cp00005296) |
101YM0800X Counselor, Mental Health (Licence: WA LH60200522) | |
Enumeration Date | 2007-07-16 |
Last Update Date | 2024-03-30 |