| NPI | 1023471653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 251849) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY LPCCCA00225112) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2021-02-23 |