| NPI | 1558507236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY KY-0025) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33001636A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000772A) | |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2010-08-04 |