| NPI | 1699230524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 3048) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 3005) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-03-26 |