| NPI | 1083201016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03263) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 03221-T) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2021-05-17 |