| NPI | 1902525686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0730000579) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0704014195) |
| 101YP2500X Counselor Professional (Licence: VA 0704014195) | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |