| NPI | 1215595186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT002001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC006759) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-10-31 |