| NPI | 1700152097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001224) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006659) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2022-11-14 |