| NPI | 1831596766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701002563) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000499) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |