| NPI | 1134377864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 000956) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 003495) |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2008-09-06 |