| NPI | 1396842043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000232) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701002331) |
| 101YP2500X Counselor Professional (Licence: VA 0701092331) | |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2019-02-12 |