| NPI | 1093999765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0216) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR t0216) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2012-02-20 |