| NPI | 1356874754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 239698) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 171669) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2018-05-21 |