| NPI | 1467678722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS LCPC230) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: MO LPC000567) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |