| NPI | 1750641965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717991351) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1437) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2016-03-07 |