| NPI | 1750727483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1773) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 20-R-29) |
| 106H00000X Marriage & Family Therapist (Licence: CA 116706) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2024-05-14 |