| NPI | 1982729612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 158) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 365) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-01-03 |