| NPI | 1235347253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA LMFT001070) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000091) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-11-16 |