| NPI | 1376294223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 281091) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 265818) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2023-04-07 |