NPI | 1376643551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 716) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 686) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2009-06-28 |