| NPI | 1487846564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS LCMFT 735) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 735) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2018-01-19 |