| NPI | 1326147927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002194) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000071) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000480) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-01-27 |