| NPI | 1003355967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2901) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2843) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2019-06-03 |