NPI | 1588326110 |
---|---|
Former Name | ALYSSA WALLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61551802) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG61404353) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-10-11 |
Last Update Date | 2024-07-19 |