| NPI | 1366082174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 276507) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 260531) |
| 101YM0800X Counselor, Mental Health (Licence: KY 276507) | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2022-05-23 |