NPI | 1396282703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2911) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS T-LMFT 2811) |
Enumeration Date | 2017-01-23 |
Last Update Date | 2025-04-30 |