NPI | 1750706669 |
---|---|
Former Name | TRACI RASH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60890982) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60749833) |
Enumeration Date | 2014-02-28 |
Last Update Date | 2020-08-09 |