| NPI | 1770064149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001973) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-06-06 |