| NPI | 1881785988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 691) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 722) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-05-06 |