| NPI | 1619019882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 105305) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 887) |
| 106H00000X Marriage & Family Therapist (Licence: KY 2012-018) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2026-06-19 |