| NPI | 1154680270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY KY0800) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202109) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2025-03-14 |