| NPI | 1720398936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701-001044) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717-000804) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |