NPI | 1497818355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LF61400079) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA mfc32618) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2023-11-16 |