| NPI | 1073916235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001400) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000302) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2015-04-27 |