| NPI | 1619187721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: KY 0003) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0125) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-09-17 |