| NPI | 1063804292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS LMFT 2670) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS LCMFT2813) |
| 106H00000X Marriage & Family Therapist (Licence: ID LMFT7180) | |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2019-08-13 |