| NPI | 1457597528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0737) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR R0696) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2014-08-13 |