| NPI | 1316227408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 241000) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY KY-1249) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2021-06-04 |