| NPI | 1063667905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 001128) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 000146) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2009-08-27 |