NPI | 1396118360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 60996653) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60996653) |
101Y00000X Counselor | |
101YM0800X Counselor, Mental Health | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2015-11-12 |
Last Update Date | 2024-01-11 |