| NPI | 1235705104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 286016) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 270736) |
| 101YP2500X Counselor, Professional (Licence: KY 286016) | |
| 101YP2500X Counselor, Professional (Licence: KY 270736) | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2023-08-09 |