| NPI | 1477944619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2021051210) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 373) |
| 106H00000X Marriage & Family Therapist (Licence: KS 185) | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2023-01-23 |