| NPI | 1629263736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2725) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9501) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2022-07-21 |