| NPI | 1265672687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 164615) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 6009A) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2017-04-06 |