| NPI | 1255595146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701001628) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000490) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |