| NPI | 1225427271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: KY 173954) | |
| 101YP2500X Counselor, Professional (Licence: KY 173954) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2021-08-10 |