| NPI | 1568787091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 104043) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001660A) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2023-06-06 |