| NPI | 1083113286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03158) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2904) |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2025-05-28 |