| NPI | 1033320130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001127) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0618) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-12-27 |