| NPI | 1316668155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 257686) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 254976) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2023-02-15 |