| NPI | 1588954309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2035) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 1137) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2020-12-02 |