| NPI | 1114338159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12232) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1434) |
| 101YP2500X Counselor, Professional (Licence: NC 12232) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2022-02-24 |