| NPI | 1710266531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2400) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 1245) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2012-09-18 |