| NPI | 1003280850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2849) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2713) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2018-04-03 |