| NPI | 1386619146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY KY0530) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1051501) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-07-08 |