| NPI | 1023701851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA LMFT001996) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC013558) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |