NPI | 1083623698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000807) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 701002082) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2025-09-11 |