| NPI | 1578525440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701001424) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000550) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-11-10 |