| NPI | 1295814358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS 0335) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 358) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |