| NPI | 1619060563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701002417) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000456) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |