| NPI | 1114526977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03273) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2023039081) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2025-01-02 |