| NPI | 1730431461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701001776) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: VA 0812000197) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |