| NPI | 1750704698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001290) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701005289) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2023-03-16 |