| NPI | 1871155432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1641) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-R-06) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2020-09-05 |