| NPI | 1225744212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0704009366) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0704009366) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-08-18 |