| NPI | 1821336520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001725) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01322) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2021-05-23 |