| NPI | 1942441738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY KY-0940) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KY 2008-105) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2014-01-16 |