| NPI | 1669022943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 3090) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 03193) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2021-12-01 |