| NPI | 1235263526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY ky-1021) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 0353) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39003007A) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-11-10 |