| NPI | 1003224452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 173436) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY KY-1890) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2018-09-19 |