| NPI | 1487399069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R10618) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHP-R-3348) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2025-01-29 |