| NPI | 1679458152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R9594) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMT4352) |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2026-08-06 |