| NPI | 1811441835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA APC004488) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000417) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |