NPI | 1558308981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 1711) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2004033740) |
1041C0700X Social Worker, Clinical (Licence: KY 3429) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2013-03-11 |