| NPI | 1609943869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0640) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 0879) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2017-03-14 |