| NPI | 1285818161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 5534230-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701001915) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000682) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |