| NPI | 1871944645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001793) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000428) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-09-08 |