| NPI | 1033350087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 880) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 1102) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2023-12-07 |