| NPI | 1619160546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 0819) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY KY-04-0032) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2009-01-21 |