| NPI | 1972711042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR LPC3061) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR LPC1361) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2017-12-07 |