NPI | 1023339488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3482) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR Registered Intern) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2010-06-18 |
Last Update Date | 2018-09-04 |