| NPI | 1710238340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2857) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2420) |
| Enumeration Date | 2012-09-22 |
| Last Update Date | 2018-08-24 |