| NPI | 1265186365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 277373) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 262324) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-09-19 |