| NPI | 1083997886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 104439) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1320) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2018-03-17 |