| NPI | 1184482903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 292346) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 268896) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-07-17 |