| NPI | 1629423496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001697) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1239-124) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2019-07-19 |