| NPI | 1205845294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 001054) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 002975) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2024-06-12 |