| NPI | 1457968562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2403) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR R6503) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2023-10-11 |