| 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 |