| NPI | 1013522804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 273044) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 273044) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2024-03-14 |