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 |