| NPI | 1194392738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT002212) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T3316) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-10-08 |