| NPI | 1396891941 |
|---|---|
| Other Name | TITA SUBERCASEAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA RC00050443) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60143396) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-08-30 |