| NPI | 1467874099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701003183) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000195) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001073) | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |