| NPI | 1871643049 |
|---|---|
| Former Name | SALLY FAITH HENDRICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0066) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 20724) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001128A) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |