| NPI | 1992303002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 03405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 03190-T) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2025-06-24 |