| NPI | 1992912612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: KY 0043) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 060018) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |