| NPI | 1285653998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701003966) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001079) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-12-17 |