| NPI | 1841073434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS LMFT03636) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS LMFT03517-T) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2024-10-01 |