NPI | 1669553319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 251) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701001102) |
106H00000X Marriage & Family Therapist (Licence: VA 0717000903) | |
Enumeration Date | 2006-10-18 |
Last Update Date | 2007-07-08 |