| NPI | 1316496581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2803) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001515) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2023-10-23 |