| NPI | 1952793903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 008216) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA 001419) |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2016-06-06 |