| NPI | 1891840799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 105198) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001757A) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-06-07 |