| NPI | 1629415773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 168357) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201479) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2016-11-03 |