| NPI | 1215576137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03203) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 3110) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2020-10-27 |