| NPI | 1871061465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 3047) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 3046) |
| 106H00000X Marriage & Family Therapist (Licence: KS 3019) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2022-11-05 |