| NPI | 1164842787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03302) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 9533282-3902) |
| 106H00000X Marriage & Family Therapist (Licence: WA 60389207) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2024-05-30 |