| NPI | 1144374125 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0001104126) | 
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: VA 0001104126) | 
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001104126) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VA 0001104126) | |
| Enumeration Date | 2007-01-23 | 
| Last Update Date | 2025-09-11 |