| NPI | 1093366338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 265944) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 173555) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2020-09-30 |