| NPI | 1841820941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1926) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR R4522) |
| 101YM0800X Counselor Mental Health (Licence: T1926) | |
| 106H00000X Marriage & Family Therapist (Licence: OR R4522) | |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2021-09-08 |