NPI | 1518382589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF607117763) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LF60711763) |
Enumeration Date | 2014-02-27 |
Last Update Date | 2018-08-29 |