| NPI | 1114769684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR R9259) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR R9263) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |