| NPI | 1548399421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0753) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2011-08-23 |