| NPI | 1558652545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000471) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701001922) |
| 101YP2500X Counselor, Professional (Licence: NC 3063) | |
| 101YP2500X Counselor, Professional (Licence: VA 753149110) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 753149110) | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |