| NPI | 1609274570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1834) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2021-10-05 |