NPI | 1639503915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60577416) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60314037) |
Enumeration Date | 2013-08-22 |
Last Update Date | 2016-08-11 |