| NPI | 1861848665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3569) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701001396) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000381) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |