| NPI | 1124364625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 161528) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY LPCPCC00216413) |
| 101YP2500X Counselor, Professional (Licence: KY 161528) | |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2024-04-08 |