| NPI | 1740358779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 152) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 303) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2010-08-23 |