| NPI | 1205322922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 284868) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 267454) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2024-02-11 |