NPI | 1881719649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00004982) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LCPC3302) |
106H00000X Marriage & Family Therapist (Licence: WA LF00001215) | |
106H00000X Marriage & Family Therapist (Licence: ID LMFT3013) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2007-07-08 |