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 |