| NPI | 1386996536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 898) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2404) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2016-06-02 |