| NPI | 1356797039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2799) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2770) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-08-29 |