| NPI | 1043637168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253148) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 239826) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2020-10-27 |