| NPI | 1922306448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 221700000X Art Therapist (Licence: OR 22-230) | |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2024-07-16 |