NPI | 1427727817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61224658) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: WA MC61224658) | |
Enumeration Date | 2021-09-09 |
Last Update Date | 2022-03-22 |