| NPI | 1134571631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001357) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC008004) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |