| NPI | 1326566597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001602) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000480) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2020-07-22 |