| NPI | 1801242219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001645) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC011261) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2023-01-03 |