NPI | 1780804823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00004252) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001144) |
Enumeration Date | 2007-04-30 |
Last Update Date | 2007-07-08 |