| NPI | 1659527463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006834) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 65986) |
| 101YP2500X Counselor, Professional (Licence: DC PRC14251) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2017-03-21 |