| NPI | 1578545786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002441) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710000503) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000601) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2024-05-03 |