| NPI | 1558577197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001607A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0635) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-04-27 |