| NPI | 1871992032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA LMFT001394) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000350) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2022-03-16 |