| NPI | 1326437476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001273) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2987) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2021-07-08 |