| NPI | 1700983160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 759) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 767) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-10-04 |