NPI | 1205030061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2027) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2025-09-11 |