NPI | 1609028471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60218786) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60128136) |
101Y00000X Counselor (Licence: WA CO60114998) | |
Enumeration Date | 2008-10-10 |
Last Update Date | 2011-07-12 |