| NPI | 1073982906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY PSYATA00218841) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY LPCCCA00220339) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |