| NPI | 1437407343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002421) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 0717700777) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |