| NPI | 1336296474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 34235) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701001385) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000259) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-09-10 |