| NPI | 1730470972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001111) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 701003470) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2013-02-18 |