| NPI | 1801022819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2943) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT000969) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2024-08-16 |