| NPI | 1750610192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1481) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0670) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2022-09-22 |