| NPI | 1568061323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001772) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-6068) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |