| NPI | 1285176834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011896) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC006747) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2021-01-07 |