NPI | 1174537393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003105) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001317) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-06-05 |