| NPI | 1992234652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001577) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000400) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2018-04-26 |