NPI | 1184857757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 5308) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 4069) |
106H00000X Marriage & Family Therapist (Licence: KY 2012-031) | |
Enumeration Date | 2009-08-31 |
Last Update Date | 2025-02-06 |