| NPI | 1619475464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2970) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2955) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2019-02-06 |