| NPI | 1720380777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1522) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR R1765) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2021-10-26 |