NPI | 1588875918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00001497) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI00000228) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2007-07-08 |