| NPI | 1437043262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2320) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001542) |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |