| NPI | 1316152903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 727) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 848) |
| 106H00000X Marriage & Family Therapist (Licence: MO 20100004313) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-10-14 |