| NPI | 1548555303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0895) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR R1973) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2013-09-26 |