| NPI | 1114334265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2786) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2018043791) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2019-04-27 |