| NPI | 1639389232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AK 280) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY KY-0551) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-04-18 |