| NPI | 1770107716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 001350) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 001350) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2021-07-09 |