| NPI | 1265567093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701001720) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000728) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-09 |