| NPI | 1598061871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C1441) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA CA17124) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |