| NPI | 1982716023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 0681) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004811A) |
| 106H00000X Marriage & Family Therapist (Licence: KY 0436) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-09-11 |