| NPI | 1255731055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2812) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2626) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2019-01-13 |