| NPI | 1023257607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY KY-07-005) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 101Y00000X Counselor | |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2012-12-04 |