NPI | 1437471646 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60361500) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 0005699) |
106H00000X Marriage & Family Therapist (Licence: WA MG60159959) | |
Enumeration Date | 2010-02-16 |
Last Update Date | 2015-08-21 |