NPI | 1609940170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 423) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 1-0005580) |
106H00000X Marriage & Family Therapist (Licence: KY 0382) | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2009-10-29 |