| NPI | 1194805895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: VA 2047) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000517) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |