| NPI | 1982957940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 919) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2376) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2025-06-18 |