| NPI | 1770993859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 169250) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 2014-002) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2021-01-07 |