| NPI | 1386098796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1608) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2024-12-16 |