| NPI | 1306267661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 1585) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2023-09-01 |