| NPI | 1487257754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255296) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 267276) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2022-11-07 |