| NPI | 1740479187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0987) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C3289) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2015-01-27 |