| NPI | 1386951499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001221) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005024) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1352-07) | |
| 101YM0800X Counselor, Mental Health (Licence: HI 209) | |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2011-07-18 |