| NPI | 1407220486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03086) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 124462) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2021-08-13 |