| NPI | 1013507771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001795) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0730000412) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |