| NPI | 1043575913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001347) |
| 106H00000X Marriage & Family Therapist (Licence: NY 001223) | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2016-04-08 |