| NPI | 1083031967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC006468) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006468) |
| 106H00000X Marriage & Family Therapist (Licence: GA LPC006468) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |