| NPI | 1376540492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 105080) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 106H00000X Marriage & Family Therapist (Licence: IN 39000052) | |
| 106H00000X Marriage & Family Therapist (Licence: KY 0271) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-05-08 |