| NPI | 1376743336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY KY-0577) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY-1897) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2008-11-11 |