| NPI | 1316450349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 269797) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 128827) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2022-10-20 |