| NPI | 1629326491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0514) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2019-08-23 |