NPI | 1326075151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701001355) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000400) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2007-07-09 |