| NPI | 1043470669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: OR T0843) | |
| 106H00000X Marriage & Family Therapist (Licence: OR 0843) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2015-04-09 |