| NPI | 1205030657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 103054) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 0678) |
| 101YP2500X Counselor, Professional (Licence: KY 1176) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2016-06-07 |