| NPI | 1831888221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257041) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 280612) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2025-10-02 |