| NPI | 1336946235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0704014168) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0730000610) |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |