| NPI | 1871708677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003723) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC003723) |
| 106H00000X Marriage & Family Therapist (Licence: GA LPC003723) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-06-24 |