| NPI | 1396497780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L30025) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR TI1411) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2025-02-27 |