| NPI | 1497320840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001848) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3772) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2023-03-21 |