| NPI | 1003138165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701008332) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 414) |
| 106H00000X Marriage & Family Therapist (Licence: CA 98037) | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2019-10-31 |