| NPI | 1316397961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2771) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 2771) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2019-10-16 |