| NPI | 1184079683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001519) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000415) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2018-03-17 |