| NPI | 1740645290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03215) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 3135) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2021-04-09 |