NPI | 1376608000 |
---|---|
Other Name | SHARON J IVERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00005230) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001657) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2007-07-08 |