| NPI | 1871612358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701001533) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000718) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-09 |