| NPI | 1528487576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002260) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 573) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000472) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2020-08-20 |