NPI | 1871061705 |
---|---|
Former Name | RHONDA MARIE MOSES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60765335) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60765335) |
106H00000X Marriage & Family Therapist (Licence: WA MG60765461) | |
Enumeration Date | 2018-11-08 |
Last Update Date | 2021-03-19 |