| NPI | 1639969975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0730000714) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0704016561) |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |