| NPI | 1033807623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT002137) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000762) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2025-01-15 |