| NPI | 1912134974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY LMFT106635) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 99036104A) |
| 106H00000X Marriage & Family Therapist (Licence: KY KY-0526) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2018-02-28 |