| NPI | 1225637671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R6173) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR R4829) |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2021-04-07 |