| NPI | 1801173588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006664) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001249) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2023-08-06 |