| NPI | 1235223751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 0885) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-05-04 |