| NPI | 1801304886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6570) |
| 106H00000X Marriage & Family Therapist (Licence: OR R5620) | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2022-09-06 |