| NPI | 1518598689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 001818) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000580) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2021-01-03 |