| NPI | 1912102807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 106452) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001042) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2023-11-09 |