NPI | 1982887584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60408962) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00059803) |
106H00000X Marriage & Family Therapist (Licence: WA MG60227205) | |
Enumeration Date | 2007-12-06 |
Last Update Date | 2013-10-04 |