| NPI | 1801860242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 0839) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0414) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |