| NPI | 1306173737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 105238) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 252697) |
| 106H00000X Marriage & Family Therapist (Licence: KY 0839) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001941A) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2021-02-17 |