| NPI | 1659611598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY KY-0820) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY KY-1145) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |