| NPI | 1932557188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T-2001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 101YM0800X Counselor, Mental Health (Licence: OR C-6486) | |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2024-12-11 |