| NPI | 1700207685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001299) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0171001299) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2022-07-16 |