| NPI | 1730840810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03042) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 53715) |
| 101YM0800X Counselor, Mental Health (Licence: KS 03042) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 53715) | |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2021-12-31 |