| NPI | 1932811221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1865) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 43200) |
| 221700000X Art Therapist (Licence: OR C-10205587) | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |