| 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 |