| NPI | 1699151258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 167133) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 1427) |
| 106H00000X Marriage & Family Therapist (Licence: IN 350019282A) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2018-06-09 |