| NPI | 1932304508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 778) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 913) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2022-11-10 |