| NPI | 1235527805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 161946) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY LPCPCC00211316) |
| 101Y00000X Counselor (Licence: KY LPCPCC00211316) | |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2025-12-17 |