| NPI | 1922230531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 839) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2017025033) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2019-07-10 |