| NPI | 1982161790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2895) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 51541) |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |