| NPI | 1659758241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001937A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY MFTMFT00217486) |
| Enumeration Date | 2015-05-03 |
| Last Update Date | 2020-06-02 |