| NPI | 1972010379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2967) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2930) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2023-06-13 |