| NPI | 1164899415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2681) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2877) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2019-03-06 |