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 |