NPI | 1386010387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61023675) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MG60774471) |
101YM0800X Counselor, Mental Health (Licence: WA CG60484930) | |
Enumeration Date | 2015-08-13 |
Last Update Date | 2022-02-10 |