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 |