| NPI | 1760648075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2809) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS T-LMFT 982) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2025-05-12 |