| NPI | 1376140426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT002115) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LCM1083) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2025-05-19 |