| NPI | 1023584679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 276180) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 244765) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2022-04-15 |