NPI | 1902448020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61170896) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MG61170896) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2022-01-24 |