| NPI | 1467472340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003784) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701003784) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001095) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-01-16 |