| NPI | 1619376472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001139) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC005400) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC005400) | |
| 101YP1600X Counselor, Pastoral (Licence: GA LPC005400) | |
| 101YP1600X Counselor, Pastoral (Licence: GA MFT001139) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC005400) | |
| 101YM0800X Counselor, Mental Health (Licence: GA MFT001139) | |
| 101YP2500X Counselor, Professional (Licence: GA MFT001139) | |
| 101Y00000X Counselor (Licence: GA MFT001139) | |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2016-01-27 |