NPI | 1942598610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0236) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C0809) |
Enumeration Date | 2011-07-15 |
Last Update Date | 2016-10-07 |