| NPI | 1013402973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 242616) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2018-06-24 |