| NPI | 1023382736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY 10659) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 1062) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |