| NPI | 1013057793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC12288) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 1277) |
| 101YP2500X Counselor Professional (Licence: KY 0823) | |
| 101YP2500X Counselor Professional (Licence: KY 104540) | |
| 101YP2500X Counselor Professional (Licence: VA 0701010124) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-03-28 |