| NPI | 1275627937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0482) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR C1766) |
| 101YM0800X Counselor, Mental Health (Licence: NM CCMH0223501) | |
| 101Y00000X Counselor (Licence: NM CCMH0223501) | |
| 101YM0800X Counselor, Mental Health (Licence: OR C1766) | |
| 101YP2500X Counselor, Professional (Licence: OR C1766) | |
| 101YP2500X Counselor, Professional (Licence: NM CCMH0223501) | |
| 106H00000X Marriage & Family Therapist (Licence: NM CMF0223491) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-08-02 |