| NPI | 1326255688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS LCMFT 308) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO LMFT 2004019051) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |