| NPI | 1154464113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR T0433) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0433) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-09 |