| NPI | 1336323716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0586) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2113) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2014-05-28 |