| NPI | 1689044901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001696) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC005008) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2021-12-22 |