| NPI | 1679809016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001231) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA PC005894) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2019-04-03 |