NPI | 1518465194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60987641) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-01-29 |
Last Update Date | 2020-01-10 |