| NPI | 1770675803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0544) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: OR C1888) | |
| 106H00000X Marriage & Family Therapist (Licence: AZ 15642) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-01-31 |