| NPI | 1073962320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2757) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 2757) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-05-25 |