| NPI | 1811029945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256109) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 267986) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2021-10-21 |