| NPI | 1780025965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY MFTMFT00223555) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6750) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2016-01-02 |