| NPI | 1326695057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 303998) |
| Additional Taxonomies | 251B00000X Case Management |
| 101YP2500X Counselor, Professional (Licence: KY 285688) | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2025-12-09 |