| NPI | 1689866063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OR 10364209) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |