| NPI | 1912377938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 173076) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 173076) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2022-06-03 |