| NPI | 1003125667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004917) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-3437) |
| 106H00000X Marriage & Family Therapist (Licence: ID LMFT-3076) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2015-01-20 |