| NPI | 1114055670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0940) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-01-05 |