| NPI | 1326746215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR T1928) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1984) |
| 106H00000X Marriage & Family Therapist (Licence: OR T1928) | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-24 |