| NPI | 1952610982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1362) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C5103) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2021-06-15 |