| NPI | 1972525731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002693) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000836) |
| 101YS0200X Counselor, School (Licence: VA 09-516310) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2009-02-10 |