| NPI | 1669527511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004529) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC004529) |
| 106H00000X Marriage & Family Therapist (Licence: GA LPC004529) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-06-11 |