NPI | 1538210372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00005352) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001060) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2007-07-08 |