| NPI | 1811273006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T2582) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 247200000X Technician, Other | |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2024-12-03 |