| NPI | 1134702004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 277207) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-05-10 |