| NPI | 1073734927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 3035) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY ky-0617) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-12-01 |