| NPI | 1457723397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C4817) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR R3870) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2019-01-29 |