| NPI | 1548833239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0730000606) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0704014022) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2023-06-19 |