| NPI | 1942841036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 273275) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35002218A) |
| 106H00000X Marriage & Family Therapist (Licence: KY 260180) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-05-18 |