NPI | 1326146739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701002271) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000572) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |