| NPI | 1386066165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2837) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2548) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2024-03-13 |