| NPI | 1295778249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 190) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 0130) |
| 101YM0800X Counselor Mental Health (Licence: KS 236) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-11-07 |