| NPI | 1538551213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2109) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2026-03-11 |