| NPI | 1316295587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1531) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR C5156) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2023-10-23 |