| NPI | 1215346192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 169151) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY KY-1914) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2024-06-25 |