NPI | 1497299002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61103098) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG 60692309) |
Enumeration Date | 2016-12-15 |
Last Update Date | 2021-05-18 |