| NPI | 1205184132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 164567) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: KY LPCPCC00225357) | |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2016-08-12 |