| NPI | 1740397579 |
|---|---|
| Former Name | VIRGINIA MARIE CEDERHOLM (MAIDEN NAME) |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00010830) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-09-20 |