| NPI | 1538289830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2811) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1331) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2025-04-26 |