| NPI | 1821009283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 261) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC004739) |
| 106H00000X Marriage & Family Therapist (Licence: MA 116) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |