| NPI | 1225265317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000093) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1331) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |