| NPI | 1487146049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6526) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2406) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-10-26 |