| NPI | 1841201456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY-0574) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY KY-1719) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-06-04 |