| NPI | 1497805501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0957) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 05-0008) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2014-07-31 |