| NPI | 1053651299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3731) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2014-05-22 |