| NPI | 1245584937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701001636) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000703) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |