| NPI | 1013207299 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001306) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT2178) | 
| 101YS0200X Counselor, School (Licence: FL MT2178) | |
| 101YS0200X Counselor, School (Licence: GA 1358127) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT2178) | |
| Enumeration Date | 2011-04-09 | 
| Last Update Date | 2024-12-29 |