NPI | 1346875192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61408556) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MG61027794) |
106H00000X Marriage & Family Therapist (Licence: WA MG61027794) | |
Enumeration Date | 2020-03-11 |
Last Update Date | 2023-03-15 |