| NPI | 1780728386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA (GA) MFT 000897) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 897) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-11-13 |