NPI | 1265567093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP1600X Counselor, Pastoral |
Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701001720) |
106H00000X Marriage & Family Therapist (Licence: VA 0717000728) | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2025-09-11 |