| NPI | 1174797500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0828) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01132) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2012-08-30 |