| NPI | 1699070474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013381) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 46565) |
| 101YP2500X Counselor, Professional (Licence: RI 00113) | |
| 101YP2500X Counselor, Professional (Licence: FL TPMF286) | |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2023-06-13 |