NPI | 1821125022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: VA 0715004083) |
Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701002595) |
106H00000X Marriage & Family Therapist (Licence: VA 0717000577) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2025-09-11 |