| NPI | 1841944782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 254174) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 251480) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |