| NPI | 1932245172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT000920) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 000920) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2010-12-03 |