| NPI | 1598418741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 290568) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 275432) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2024-08-14 |