NPI | 1912065624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY-323) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY KY-0378) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2007-07-08 |