| NPI | 1245729722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 292214) |
| Additional Taxonomies | 174H00000X Health Educator |
| 174N00000X Lactation Consultant, Non-RN (Licence: KY L-61775) | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2024-06-25 |