| NPI | 1992212252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2020019921) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2941) |
| 106H00000X Marriage & Family Therapist (Licence: KS 2957) | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2021-08-01 |