| NPI | 1659795649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001370) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 399) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2020-03-11 |