| NPI | 1174943534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2748) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0821) |
| 106H00000X Marriage & Family Therapist (Licence: MT 6067) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2016-11-15 |