| NPI | 1780361741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR R11908) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR R8509) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2025-09-25 |