NPI | 1780801811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 4397) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA 1335) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2025-09-11 |