NPI | 1386044667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60737678) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 157796) |
106H00000X Marriage & Family Therapist (Licence: WA MG60648848) | |
101YM0800X Counselor, Mental Health (Licence: CA 8258) | |
Enumeration Date | 2014-08-24 |
Last Update Date | 2025-10-08 |