| NPI | 1598944977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3398) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0734) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2012-01-24 |