| NPI | 1730428251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR LPC#C2738) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT33178) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |