| NPI | 1285249839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 280442) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 245207) |
| 101YP2500X Counselor, Professional (Licence: KY 280442) | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2022-12-03 |