| NPI | 1194829572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001506) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC008494) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-09-24 |