| NPI | 1861961435 |
|---|---|
| Former Name | SONJA MARIE BERTRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60938904) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60597315) |
| 106H00000X Marriage & Family Therapist (Licence: WA MG60597313) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2019-03-27 |