| NPI | 1053609651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS LMFT 2342) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS T-LMFT 1237) |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2011-11-26 |