| NPI | 1609595644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R8520) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R8520) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2023-09-28 |