| NPI | 1780107300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03005) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2965) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2020-10-07 |