| NPI | 1144697434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2825) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2740) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2022-10-26 |