| NPI | 1184897340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: GA PSY003302) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001030) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2009-10-30 |