| NPI | 1386974699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 793) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 915) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2019-01-16 |