| NPI | 1609523505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0732001714) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0733001538) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |