| NPI | 1023027760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000231) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701001164) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-10-01 |