| NPI | 1104417856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT002042) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA AMFT000730) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2023-04-21 |