NPI | 1306296355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61134197) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF86149) |
106H00000X Marriage & Family Therapist (Licence: WA MG60664383) | |
Enumeration Date | 2016-06-20 |
Last Update Date | 2021-04-13 |