| NPI | 1538499074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001086) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2242) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2018-02-15 |