| NPI | 1669851473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2665) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2024011825) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2025-12-05 |