| NPI | 1326673526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 262289) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4317) |
| 101YP2500X Counselor, Professional (Licence: KY 247969) | |
| 106H00000X Marriage & Family Therapist (Licence: OH F2100220) | |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2022-11-12 |