| NPI | 1245578061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT002015) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000264) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2024-09-20 |