| NPI | 1821439613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000289) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0718000062) |
| 101YM0800X Counselor Mental Health (Licence: VA 0701002180) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |