| NPI | 1295072700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2726) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2409) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2018-08-24 |