NPI | 1205013778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 389) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0105) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2008-01-28 |