| NPI | 1811026644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0824) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR T0824) |
| 101YP2500X Counselor, Professional (Licence: OR C3112) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-12-16 |