| NPI | 1790321677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03232) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 3120) |
| 106H00000X Marriage & Family Therapist (Licence: KS 3157) | |
| 106H00000X Marriage & Family Therapist (Licence: KS 3118) | |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2023-08-30 |