| NPI | 1366946154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001556) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 2298) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2025-12-16 |