NPI | 1841506607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60240317) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG 60149257) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2013-04-10 |