| NPI | 1386956415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 105400) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0689) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2024-06-10 |