| NPI | 1992991459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS #469 LMFT) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS LMFT 469) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2019-03-27 |