| NPI | 1427881960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000830) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA AMFT000830) |
| 101YM0800X Counselor, Mental Health (Licence: GA AMFT000830) | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2026-01-23 |