| NPI | 1538843941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03548) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 03496-T) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-10-13 |