NPI | 1457539702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0825) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60152242) |
Enumeration Date | 2008-02-07 |
Last Update Date | 2015-05-12 |