| 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 |