| NPI | 1336378496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR TO400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C1380) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |