| NPI | 1912981184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0883) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 000895) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2023-11-14 |