| NPI | 1386116176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1692) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C5111) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2020-12-04 |