| NPI | 1821401639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 245214) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2019-01-23 |