| NPI | 1760997910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717002114) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 266055) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2024-08-21 |