| NPI | 1659919801 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000222) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001553) | 
| Enumeration Date | 2019-12-18 | 
| Last Update Date | 2019-12-18 |