| NPI | 1134630577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 259926) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 259926) |
| 101YP2500X Counselor, Professional (Licence: OH c.1700453) | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2024-01-31 |