NPI | 1891238556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60985203) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60630037) |
221700000X Art Therapist | |
Enumeration Date | 2016-11-29 |
Last Update Date | 2022-11-02 |