| NPI | 1134739295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 291813) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 291813) |
| 101YP2500X Counselor Professional (Licence: KY 291813) | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2024-04-25 |