| NPI | 1366802795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4193) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C4193) |
| 106H00000X Marriage & Family Therapist (Licence: OR C4193) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-07-05 |