| NPI | 1255003562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001858) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701010849) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2026-01-19 |