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 |