| NPI | 1841485745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 721) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2841) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2018-06-06 |