| NPI | 1659816288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001585) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3245) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2018-07-02 |