| NPI | 1639306699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001185) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006661) |
| 101YM0800X Counselor, Mental Health (Licence: GA APC002290) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2024-11-18 |