NPI | 1225610660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001956) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007897) |
101YP2500X Counselor, Professional (Licence: GA AMFT000664) | |
Enumeration Date | 2021-04-26 |
Last Update Date | 2022-04-19 |