| NPI | 1982123303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2986) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 756) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2025-05-06 |