| NPI | 1083882146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 001729) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 000757) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |