| NPI | 1073837928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000163) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 002148) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |