| NPI | 1558444224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 904) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: KY 904) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: KY 904) | |
| 103T00000X Psychologist (Licence: KY 904) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: KY 904) | |
| 106H00000X Marriage & Family Therapist (Licence: KY 904) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-04-14 |