| NPI | 1295356657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 280850) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 261970) |
| 101YM0800X Counselor Mental Health (Licence: FL 22602) | |
| 101YP2500X Counselor Professional (Licence: LA 9879) | |
| 101YP2500X Counselor Professional (Licence: KY 261970) | |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2023-12-29 |