| NPI | 1083972020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 6738) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 2013-022) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2014-02-27 |