| NPI | 1942749163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011053) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6650) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0704013329) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001633) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 93774) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0730000577) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2021-12-07 |