| NPI | 1659566693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VT 100.0108298) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00051059) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2014-12-10 |