| NPI | 1730213380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000793) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701002443) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-09 |