| NPI | 1467003715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000464) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: VA 0701001713) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |