NPI | 1609298165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 60883000) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60781554) |
Enumeration Date | 2014-01-17 |
Last Update Date | 2018-10-02 |