| NPI | 1225183817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 243014) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 243014) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-09-25 |