NPI | 1619184256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004636) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00004313) |
106H00000X Marriage & Family Therapist (Licence: WA Lf00001332) | |
Enumeration Date | 2007-05-16 |
Last Update Date | 2007-12-19 |