| NPI | 1679745616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002543) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000806) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-09-26 |