| NPI | 1184271561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001722) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000508) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2020-11-13 |