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 |