| NPI | 1790317147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C5588) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2132) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2024-05-02 |