| NPI | 1891974374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor Pastoral |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA LPC 0701001758) |
| 106H00000X Marriage & Family Therapist (Licence: VA LMFT 0717000172) | |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |