| NPI | 1235469719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6956) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2019-10-03 |