| NPI | 1326498403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: KY 167371) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-04-26 |