| NPI | 1144641960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY KY-1712) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2021-12-14 |