| NPI | 1093372013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 272603) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 244304) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2024-09-03 |