| NPI | 1245750272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03031) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2873) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-07-09 |