| NPI | 1992092712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007904) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001334) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2014-10-01 |