| NPI | 1871246637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001997) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000704) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2025-08-19 |