| NPI | 1588152128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA APC008750) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 132341) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2022-11-22 |