| NPI | 1841473584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001176) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4231) |
| 106H00000X Marriage & Family Therapist (Licence: LA 430) | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2009-03-02 |