NPI | 1336385897 |
---|---|
Former Name | COLLEEN ANNE QUITSLUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF 60258087) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC60044983) |
Enumeration Date | 2009-01-05 |
Last Update Date | 2017-04-24 |