NPI | 1306595954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7749) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2474) |
Enumeration Date | 2022-03-21 |
Last Update Date | 2024-03-07 |