| NPI | 1437551728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2903) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R4800) |
| 106H00000X Marriage & Family Therapist (Licence: OR T1673) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2025-08-05 |