| NPI | 1427540160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256442) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 260578) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2024-02-27 |