| NPI | 1992008684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0454) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR T0454) |
| Enumeration Date | 2010-12-18 |
| Last Update Date | 2022-09-12 |