NPI | 1972656346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR T0381) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0381) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2019-05-15 |