| NPI | 1962888933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2864) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2631) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2018-09-06 |