| NPI | 1710257878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0753) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C2567) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |