| NPI | 1205308491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1562) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001913) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2024-02-02 |