| NPI | 1679903710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: KY 3002705) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY ky-0388) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2015-07-21 |