| NPI | 1801552575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 270636) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 270636) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2024-05-15 |