| NPI | 1811335680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC006929) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC006929) |
| 101YP2500X Counselor, Professional (Licence: GA LPC006929) | |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT001294) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |