| NPI | 1831456607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC007901) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: BA2C14AC) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2021-07-05 |