NPI | 1316243033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60560868) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60293007) |
Enumeration Date | 2011-01-27 |
Last Update Date | 2017-04-18 |