| NPI | 1992923395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC875) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA 2248) |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT502) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |