NPI | 1336407618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61534265) |
Additional Taxonomies | 174400000X Specialist (Licence: WA MA60190791) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2024-05-29 |