| NPI | 1710236757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1550) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NE 9734) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2020-03-12 |