| NPI | 1326333436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2848) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 1597) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2018-12-04 |