| NPI | 1407098320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 883) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 1050) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2026-05-06 |