NPI | 1811015894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA RC00056109) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52484) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2008-08-18 |