| NPI | 1134219546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 294) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: RI 00070) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2008-11-05 |