| NPI | 1194906347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001619A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY KY-0668) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |