| NPI | 1003243874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 128325) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 1068) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2023-03-07 |