| NPI | 1952452294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0812000012) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701001929) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717000466) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-09 |