| NPI | 1013664234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0168) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000830) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |