NPI | 1427881960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000830) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA AMFT000830) |
101Y00000X Counselor (Licence: GA AMFT000830) | |
Enumeration Date | 2024-08-21 |
Last Update Date | 2024-08-21 |