| NPI | 1427206580 |
|---|---|
| Former Name | ELEANOR KELSEY MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001513) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000220) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2024-01-23 |