| NPI | 1972992386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001599) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 240382) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2020-12-02 |