| NPI | 1366767659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS LCMFT314) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2009010880) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |