| NPI | 1649776501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2199) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2024-01-30 |