| NPI | 1215020151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS LCMFT 817) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS LMFT 689) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-02-08 |