| NPI | 1588873160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 105151) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 559) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-11-30 |