| NPI | 1982858528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS LCPC 2260) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS LCMFT 791) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2012-07-27 |