| NPI | 1235266966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004340A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY-374) |
| 106H00000X Marriage & Family Therapist (Licence: KY KY-0384) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |