| NPI | 1851653737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001256) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000665) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2018-03-26 |