| NPI | 1558428797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0719) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000090) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-03-10 |