| NPI | 1558012377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000769) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2023-03-28 |