| NPI | 1184388449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 281780) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 273726) |
| Enumeration Date | 2021-10-23 |
| Last Update Date | 2023-04-06 |