| NPI | 1457649204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R1576) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R1530) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |