| NPI | 1972795748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR LCSW634) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: OR LCSW634) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |