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 |