NPI | 1568546240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701002298) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000377) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2019-11-27 |