| NPI | 1154876159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2961) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 7447) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2023-07-15 |