| NPI | 1588951578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001323) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006905) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2014-08-28 |