| NPI | 1932517315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2644) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2594) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2016-10-10 |