| NPI | 1912552647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 163W00000X Registered Nurse (Licence: KS 73338) | |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2022-09-28 |