| NPI | 1518667716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717002423) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LCM1089) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2025-06-24 |