| NPI | 1528338845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3855) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 37130) |
| 106H00000X Marriage & Family Therapist (Licence: OR T1211) | |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2019-08-01 |