| NPI | 1336641398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 240507) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 240507) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 170577) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-17 |