NPI | 1326270497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF 60254609) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60274897) |
Enumeration Date | 2009-08-21 |
Last Update Date | 2013-10-21 |