NPI | 1972783603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF 60123708) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00053623) |
Enumeration Date | 2007-11-09 |
Last Update Date | 2012-10-03 |