NPI | 1386788750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004874) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00000913) |
Enumeration Date | 2007-02-17 |
Last Update Date | 2009-02-27 |