| NPI | 1508075268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000067) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: VA 6867.) |
| 101Y00000X Counselor (Licence: VA 0701002299) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701002299) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-03-15 |