NPI | 1588357651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61650706) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA 101Y99995L) |
Enumeration Date | 2023-06-02 |
Last Update Date | 2025-02-05 |