| NPI | 1790657427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0704018641) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-10-22 |