| NPI | 1164651733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R1437 (PC)) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R1437 (PC)) |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2020-01-24 |