| NPI | 1609303312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000469) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001837) |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT001706) | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2022-09-12 |