| 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 |