| NPI | 1063135267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 289116) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 258414) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2025-09-18 |