| NPI | 1205390127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 245930) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 85000303A) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2023-08-04 |