| NPI | 1437232857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 1301) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 1301) |
| 103T00000X Psychologist (Licence: KY 1301) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: KY 1301) | |
| 106H00000X Marriage & Family Therapist (Licence: KY 1301) | |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2008-04-30 |