| NPI | 1750540332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 238) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC001933) |
| 106H00000X Marriage & Family Therapist (Licence: LA MFT127) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |