| NPI | 1598132334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2783) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS T-2686) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2017-12-05 |