| NPI | 1164511226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701000914) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC301546) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000770) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-10-15 |