| NPI | 1447528583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR L4372) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4372) |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2021-12-22 |