| NPI | 1063781441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253717) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006806A) |
| 106H00000X Marriage & Family Therapist (Licence: KY 104363) | |
| 106H00000X Marriage & Family Therapist (Licence: KY 104353) | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2023-11-08 |