| NPI | 1043438997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 1457) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 0446) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-06-17 |