| NPI | 1326681081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03186) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 3150) |
| 106H00000X Marriage & Family Therapist (Licence: KS 3084) | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2022-10-24 |