| NPI | 1770851180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2375) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2011039792) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2012-08-30 |