| NPI | 1386876555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701001837) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000461) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2014-02-13 |