| NPI | 1053558239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR T0898) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0898) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2022-06-15 |