NPI | 1932590213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60958954) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60685138) |
Enumeration Date | 2015-02-09 |
Last Update Date | 2020-09-23 |