| NPI | 1316944432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001423A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0417) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2007-07-08 |