NPI | 1750345310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002606) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000424) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2022-09-09 |