| NPI | 1376694463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 071700118) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701004004) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2024-07-12 |