NPI | 1992914519 |
---|---|
Former Name | REBECCA LYNN MCKINNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60125317) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00010948) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2010-09-17 |