| NPI | 1013420751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 279091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 03344) |
| 101YP2500X Counselor, Professional (Licence: KS 3056) | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-11-29 |