| NPI | 1467032482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001899) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000612) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-09-28 |