| NPI | 1225539737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 266439) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 240037) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2020-10-29 |