NPI | 1932333960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MC60142709) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA RC60062663) |
Enumeration Date | 2009-05-05 |
Last Update Date | 2010-10-04 |