| NPI | 1740459940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 325) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2004034483) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |